ISSN 2096-7446　CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2020, Vol. 1 ›› Issue (1): 37-44.

• 论著 • 上一篇    下一篇

急诊科危重患者院内转运前核查单的编制及应用

马莉 王志稳 葛宝兰 马青变 葛洪霞 杜兰芳 路颖   

  • 出版日期:2020-01-10 发布日期:2020-01-21

The development of intra-hospital transport checklist for critically ill patients in e-mergency department

MA Li，WANG Zhiwen，GE Baolan，MA Qingbian，GE Hongxia，DU Lanfang，LU Ying   

  • Online:2020-01-10 Published:2020-01-21

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摘要： 目的 编制适合于我国急诊环境下使用的危重患者院内转运前核查单。 方法 通过文献研究进行证据整合，运用德尔菲法对36名专家进行圆轮函询并进行评定者间一致性及内容效度测评。 结果 2轮函询问卷的有效回收率均为100%，专家权威系数均为0.96，协调系数分别为0.197和0.204（P<0.001）。最终形成的核查单包括一级指标8项，二级指标35项。各条目Kappa值为0.727~1.000， 平均为0.880； 内容效度指数为0.912， 各条目内容效度指数为0.806~1.000。 结论 本研究基于文献研究和专家论证所编制的核查单科学、可靠，内容全面、细致，具有较强的可操作性及实用性。

关键词: 急诊室, 医院, 危重病, 病人转送, 护理质量审核

Abstract: Objective To develop an intra-hospital transport（IHT）checklist for critically ill patients in emergency department which is suitable for China. Methods Firstly，the evidences were integrated through the literature re-search. Then，Delphi method was used to evaluate the importance of the indicators through two-rounds of expert consultation among 36 experts. At last，the inter-rater reliability and the content validity were tested. Results The response rates in 2 rounds of expert consultation were 100.0%，the authority coefficient of experts were all 0.96，and the coordination coefficients were 0.197 and 0.204（P<0.001）. The final pre-IHT checklist consisted of 8 parts and 35 items. The Kappa values of the checklist were 0.727~1.000，average value was 0.880；the content validity index （S-CVI） was 0.912，and the item-level CVI （I-CVI） was 0.806~1.000. Conclusion The developed checklist based on literature research and expert argumentation is reliable，detailed and also operative for clinical application.

Key words: Emergency Service, Hospital, Critical Illness, Transportation of Patients, Nursing Audit